It seems like everywhere you look, they’re selling CBD.
The non-hallucinogenic marijuana plant extract is being added to everything from skin creams to dog treats with claims of miracle-like results. Some CBD products even claim it can stop anxiety and treat Parkinson’s disease and seizure disorders.
But what is CBD, and is the hype actually real? Let’s have a look.
There are three types of cannabinoids. Endocannabinoids, which are produced naturally in the body; man-made cannabinoids, which can be really dangerous; and the most popular, cannabinoids such as THC and CBD, which come from the marijuana plant.
All three kinds of cannabinoids bind to cannabinoid receptors in the body. CB1 receptors, located primarily in the brain, are believed to control mood, memory, sleep, appetite and pain. CB2 receptors are located in parts of the body that produce blood cells, such as the spleen, and are believed to affect inflammation.
CBD is short for cannabidiol, and it’s one chemical compound found in the Cannabis sativa plant — in both marijuana and hemp. CBD differs from THC (tetrahydrocannabinol) because it doesn’t cause the intoxicating, euphoric “high” associated with marijuana.
Though there are claims of health benefits wherever you go, the science isn’t quite there yet — most of the research that has found benefits was done on animals. That’s because researching marijuana legally is difficult. Marijuana is a schedule I controlled substance, defined as having “no accepted medical use and a high potential for abuse.”
Still, there’s a lot of anecdotal evidence. One case: Charlotte Figi.
A robust and active toddler, Charlotte began having seizures early in life — up to 50 per day. She was diagnosed with Dravet syndrome, a seizure disorder that can be uncontrollable with typical medications. After exhaustive research, Charlotte’s mother found that the best treatment was a combination of CBD extract with Charlotte’s normal antiepileptic drug regimen. This cut the seizures down to two to three per month, allowing her to live a normal childhood.
In June 2018, the FDA approved a CBD-containing seizure medication called Epidiolex, which can be used for the uncontrollable seizures caused by diseases such as Dravet Syndrome.
CBD is also widely used to treat pain and anxiety. Scientists are quick to say they are still unsure of the way this works, but they believe it may be due to CBD altering some brain pathways linked to these symptoms.
In skin care, CBD has been reported to treat itchiness, acne and allergic dermatitis — a skin reaction to allergies. While the mechanisms here are also unknown, scientists think it may be due to cannabinoid receptors in the skin which, when activated, work to reduce inflammation.
As states move to legalize these compounds to the public, all of these claims will need to be studied.
Many CBD products are sold as oils or balms, but they are also available in lotions, facial serums, lozenges or as part of cocktails. Although manufacturers claim there is an appropriate dose for the products they make, that is up for debate. The nutrition and supplement business, in general, is highly unregulated and this includes CBD products, even in states with legal marijuana.
Both the benefits and risks of CBD lack substantiated research. As with any supplement, there is always a risk for unintended drug interaction. A small number of studies on animals indicate that CBD could potentially affect cell health and the breakdown of drugs in the liver. In humans, a study that investigated CBD’s effect on seizures noted side effects including diarrhea, vomiting, fatigue, and increased sleepiness.
In a word: marketing.
Similar to vitamin C and kale, CBD is undergoing a rise to fame just similar to the way that kale has been labeled a “superfood,” which is a non-medical buzzword. And with celebrities publicizing anecdotal benefits, there’s been easing tension surrounding CBD’s stigma.
But most importantly, as mentioned, it’s being marketed as a fix for various ailments.
Not Exactly. As mentioned, marijuana is still a schedule I substance, and that includes CBD.
The issue of legality comes down to how the CBD is obtained. The THC portions of the cannabis plant include the flowering tops (buds), the leaves and the resin of the plant. The remainder — the stalks and sterilized seeds — is where most CBD comes from. However, producers can also obtain it from the THC portions in which case it might yield a mixture of THC and CBD.
According to Katherine Pfaff, a spokesperson for the DEA, “If the product does cause THC to enter the human body and/or contains greater than 0.3 percent of THC, it is an illegal substance that may not be manufactured, sold or consumed in the United States. If, however, the product does not cause THC to enter the human body and contains less than 0.3 percent THC, it is a non-controlled substance that may lawfully be sold.”
The National Institutes of Health lists over 150 studies involving CBD as a treatment for various diseases. The World Health Organization concluded in a press release that CBD is not harmful. And in the sports world, the World Anti-Doping Agency removed it from its prohibited substances list.
To top this off, CBD is widely available online as well as in countless bars and coffee shops nationwide. This legal ambiguity undoubtedly confuses consumers, and it won’t change until further research trickles in.
The bottom line is there are countless claims regarding CBD’s ability to cure common ailments and there are also many places to buy CBD over the counter. But while there are many people willing to answer for CBD, the reality is there are still many questions that the industry itself needs to answer.
Dr. Sumir Shah is an emergency medicine physician in New York City and a member of the ABC News Medical Unit.